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ZMW-24109-12440

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 0 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
925 / CA
Registered
2021-02-06
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-06
    Registered in v-safe
  3. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Nausea
    Adult check-in
  5. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-05
    Dose 2 — Moderna
  11. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Influenza like illness — Feeling: Fair · Site: Swelling · Be unable to do your normal daily activities
    Free text: The weekend was very difficult flu symptoms 32hrs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Allergic
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypersensitivity, Swelling — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Allergies swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-27
    Survey response — day 21, dose 2
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good
    Free text: Had allergies under control unti vaccinations. Now breaking out everyday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-02
    Survey response — day 28, dose 2
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Allergy seems very difficult to rid myself of .Doctors have prescribed 50 mpg and still have symptoms, monitoring daily, thank you .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-04
    Survey response — 3 months, dose 2
    MedDRA: Hypersensitivity, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Allergies still a continuing problem, but have visited Dr (b)(6) starting therapy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-09-03
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Dyspnoea, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Some shortness of breath, aches and pains (shoulder) while sleeping then during the day.
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Pfizer-BioNTech
22021-03-05Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 2

2021-03-09

Systemic reaction (other): The weekend was very difficult flu symptoms 32hrs

2021-03-10

Systemic reaction (other): Allergic

2021-03-11

Systemic reaction (other): Allergies swelling

Release 6 — day 21, dose 2

2021-03-27

Symptoms: Had allergies under control unti vaccinations. Now breaking out everyday

Release 6 — day 28, dose 2

2021-04-02

Symptoms: Allergy seems very difficult to rid myself of .Doctors have prescribed 50 mpg and still have symptoms, monitoring daily, thank you .

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Allergies still a continuing problem, but have visited Dr (b)(6) starting therapy.
redacted (b)(6)

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Some shortness of breath, aches and pains (shoulder) while sleeping then during the day.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ · ✓
SDDyspnoea ✓ · ✓
SDHypersensitivity ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSleep disorder ✓ · ✓
SROHypersensitivity ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROSwelling ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release